10,187 Chain-Owned Nursing Homes in the United States
10,187 of the 14,697 Medicare-certified nursing homes in the United States (69%) are chain-owned, and all are listed below. 1307 of the 10167 graded homes earn an A and 743 earn a D or F. They average 3.7 nursing hours per resident per day, 0.16 hours below the 3.86 for every home in the United States. Deerfield Health Care Center in Urbandale grades highest at A (100 out of 100).
How chain-owned homes in the United States compare
This group set against every nursing home in the United States, from the current CMS release.
Nurse staffing at this Sparks home runs 5.37 hours per resident day, roughly 39% above the national average of 3.86, the kind of number that shows up in daily care, not just on paper. Weekend coverage dips about 6% below its own weekday level, so the weekday-to-Saturday gap is worth asking about directly. Against that, staff turnover sits at 51.9% compared with 45.8% nationally, and the home carries 52 deficiencies on its current record, including 14 tied to abuse. None were cited at the harm or jeopardy level. The most recent inspection was April 2, 2026. Strong staffing and quality scores, real churn underneath.
Nashua Post Acute Care runs 290 certified beds under for-profit LLC ownership, and its staffing numbers are the first thing to notice: 3.02 nurse hours per resident day, roughly 22 percent under the national average of 3.86. Weekend coverage slips about 13 percent below the home's own weekday level, and annual turnover sits at 48.3 percent, higher than the 45.8 percent national figure. The inspection record shows 29 deficiencies, one tied to abuse, though none at the harm or jeopardy level. A recent inspection in November 2025 and a 1-out-of-5 health inspection rating round out the picture. Families should ask directly how the home covers weekends and what it's doing about retention.
Complete Care At Wayne Hills runs 120 beds in Wayne under for-profit LLC ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13 percent under the national average, with weekends dropping about 9 percent below its own weekday levels. The inspection record is the bigger problem: 34 deficiencies, including 2 at the harm or jeopardy level and 5 tied to abuse, plus two fines totaling $42,630. Staff turnover of 35.1 percent actually beats the national 45.8 percent, so retention isn't the issue here. The last inspection was recent, in December 2025, which means those findings are current, not stale.
Atlantic Coast Rehab & Health runs 160 beds in Lakewood under for-profit LLC ownership, and its record shows two very different stories. The staffing side is mixed: 3.13 nurse hours per resident day sits about 19% under the national average, and weekends dip roughly 8% below its own weekday levels, but turnover at 35.7% actually beats the national 45.8%, which suggests people who take jobs here tend to stay. The trouble is everything else. Inspectors have cited 20 deficiencies, including one at harm or jeopardy level and two tied to abuse, with a $101,112 fine on record and a February 2025 inspection that left the health and quality ratings at the bottom of the scale.
Mount Holly Rehabilitation & Healthcare Center runs 180 certified beds in Lumberton under for-profit LLC ownership, and its nurses provide about 3.43 hours of care per resident each day, roughly 11 percent below the national average of 3.86. Weekends get thinner still, with staffing about 7 percent under its own weekday level, while annual turnover sits at 44.9 percent, close to the national 45.8 percent. The current record carries 32 deficiencies, including five at the harm or jeopardy level and two tied to abuse, and the most recent inspection was February 7, 2025. Its quality measure score is strong; the health inspection score is not, and that gap is worth asking about directly.
Mountainside Skilled Nursing and Rehab runs 151 certified beds under for-profit LLC ownership, and its numbers pull in two directions. The health inspection side is the weak spot: a 2-out-of-5 federal rating, 32 deficiencies on the current record, including three tied to abuse, though none rose to actual harm or jeopardy, and the last inspection was recent, in March 2025. Staffing sits at 3.67 nurse hours per resident day, roughly 5 percent under the national figure, and weekends run about 11 percent thinner than weekdays. What keeps the overall picture up is retention, 33 percent turnover against a 45.8 percent national rate, and strong quality measures.
Voorhees Pediatric Facility runs on unusually heavy nurse staffing, 6.36 hours per resident day, roughly 65% above the national average, and its 25.7% turnover is well below the 45.8% norm, which matters in a place caring for medically fragile kids. The inspection record tells a different story: 27 deficiencies, including five tied to abuse and one flagged at harm or jeopardy level, with a $33,579 fine and a one-star health inspection rating. Its most recent inspection was in May 2025, so that record is current, not stale. For-profit LLC ownership. The quality measures look strong, but the survey history is what a family should be asking about.
Morris View runs 313 beds in Morristown under individual for-profit ownership, and its 47 deficiencies, six at the harm or jeopardy level, seven tied to abuse, are the number a family should sit with. Federal fines total $351,182 across three actions, and the most recent inspection came at the end of January 2026. Nurse staffing sits at 3.61 hours per resident day, roughly 7% under the national average, and weekends drop about 13% below the home's own weekday level, so coverage thins exactly when families tend to visit. Turnover at 41.7% is slightly better than the 45.8% national figure, and the quality measure score is strong, but inspection history and weekend staffing are where the risk concentrates.
Complete Care At Harborage is a 247-bed for-profit in North Bergen, and its numbers pull in two directions. The clinical quality scores are strong, but the inspection record is where the trouble sits: 28 deficiencies, two of them serious enough to involve harm or jeopardy, plus three tied to abuse, and a $27,378 fine. Nurse staffing runs about 3.48 hours per resident day, roughly 10% under the national average, and weekends drop another 12% below the home's own weekday levels, so coverage thins out exactly when families tend to visit.
The Meadows at Lawrence runs 180 beds under for-profit LLC ownership, and its staffing sits at 3.66 nurse hours per resident day, roughly 5% under the national average of 3.86. Weekends drop about 8% below its own weekday coverage, so the thinnest shifts land when families tend to visit.
The inspection record is the bigger concern: 32 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a $17,345 fine. Staff turnover at 37.7% is actually better than the 45.8% national figure, and quality measures rate well, but a recent September 2025 inspection and that harm-level finding are what you'd want to ask about directly before deciding.
Berlin Rehabilitation and Healthcare Center runs 128 certified beds under corporate for-profit ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.73 hours per resident day, about 3% under the national average, and weekends dip roughly 8% below its own weekday levels, worth asking about if your family visits on Saturdays or Sundays. Annual turnover of 43% is slightly better than the 45.8% national figure, but still means close to half the staff changes each year. The inspection record shows 14 deficiencies, two serious enough to involve harm or jeopardy, plus two fines totaling $71,204; the most recent inspection was May 2025. Quality measures score well, though staffing and inspection results are where the real questions live.
Cedar Crest/Mountainview Gardens runs on a nonprofit model with 113 certified beds, and its staffing numbers are genuinely strong, 4.18 nurse hours per resident day, roughly 8% above the national average, with weekend coverage dipping about 10% below its own weekday level. Turnover sits at 21.2%, less than half the national rate of 45.8%, which matters for continuity of care. The trouble is on the inspection side: 14 deficiencies on the current record, including 3 at the harm or jeopardy level and 1 abuse-related, plus $49,960 in fines across 3 penalties. A recent January 2026 inspection found a 2-out-of-5 health inspection rating, even as quality measures and staffing each earned 5 out of 5. Strong hands on deck, but a documented history of serious compliance problems.
Autumn Lake Healthcare at Voorhees is a for-profit, limited-liability operation with 120 beds, and its strongest number sits on the clinical side: a 5-out-of-5 quality measure rating. Staffing is thinner than it looks. At 3.82 nurse hours per resident day it runs just under the national average, and weekend coverage drops about 4% below its own weekday level, the stretch when problems tend to surface. Turnover at 28.7% is genuinely better than the 45.8% national figure, so the people who stay tend to stay. The concern is the inspection record: 25 deficiencies, including three tied to abuse and one serious enough to reach harm or jeopardy, plus an $84,835 fine. Ask about that harm-level citation directly.
Los Alamos Wellness & Rehabilitation runs on 3.09 nurse staffing hours per resident day, roughly a fifth below the national average, and weekend coverage dips about 6% under its own weekday numbers. That thin margin shows up in the workforce itself: 54.2% annual turnover against a 45.8% national rate. The inspection record is the harder read, 75 deficiencies, one at harm or jeopardy level, seven tied to abuse, and six fines totaling $130,691, with the most recent survey in December 2024. Quality measures score well, but that rating sits on top of staffing and inspection results that tell a different story. For-profit corporate ownership, 66 beds.
Belen Meadows runs on thin staffing. At 2.90 nurse hours per resident day, it sits about a quarter below the national average, and weekends drop roughly 15% below its own weekday level, so the hours when families visit most are the hours coverage is weakest. The 1-star staffing rating reflects that. Turnover is 54% against a national 45.8%, meaning more than half the nursing staff leaves each year. The record shows 50 deficiencies, including one at harm level and two abuse-related. Inspections were recent, November 2025, and the health inspection rating is 4 stars, so the home gets surveyed closely and often. A corporate-owned, 120-bed building where the people providing daily care keep changing.
Sunset Villa runs 3.43 nurse hours per resident per day, roughly 11% under the national average, and weekends dip about 5% below its own weekday level. That thin margin matters more when turnover sits at 53.4% against a national 45.8%, more than half the nursing staff leaving in a year makes consistent care hard to hold onto. On the record are 55 deficiencies, including 5 at the harm or jeopardy level and 6 tied to abuse, plus two fines totaling $80,968. Its last inspection was April 23, 2026, and the health inspection rating of 2 out of 5 reflects what surveyors found. Strong quality measure scores don't offset staffing and inspection problems.
Fiesta Park runs 3.64 nurse hours per resident day, about 6% under the national figure of 3.86, and weekends drop roughly 13% below what the home staffs on weekdays. Turnover sits at 30.7%, which is actually well under the 45.8% national average, staff tend to stay. What stands out more is the inspection record: 44 deficiencies, three serious enough to put residents in harm's way and two tied to abuse, plus two fines totaling $35,534. The most recent inspection was January 2025, so the picture is current. Quality measures score well; the health inspection side is where the problems concentrate.
Bear Canyon Rehabilitation Center runs 178 beds in Albuquerque under corporate for-profit ownership, and the staffing numbers are where your attention should go first. At 3.69 nurse hours per resident per day, it sits a bit under the national average, and weekends dip about 12% below its own weekday level, so coverage thins out exactly when families tend to visit. Staff turnover is the bigger tell: 70.3% a year, well above the national 45.8%, meaning the people caring for residents are often new to the building. Its inspection record shows 67 deficiencies, five serious enough to involve harm or jeopardy, and $167,434 in fines across five penalties. A recent inspection in February 2025 means the picture is current, not stale.
The Suites Rio Vista runs 3.50 nurse hours per resident day, about 9% under the national average, and weekend coverage drops roughly another 9% below its own weekday level, so the thinnest shifts land when families tend to visit. Annual turnover sits at 68.3% against a national 45.8%, which means close to seven in ten caregivers were replaced over the year. Its current record carries 63 deficiencies, including one at the harm or jeopardy level and eight tied to abuse, plus a $17,215 fine. A 4/5 quality measure score can't offset that inspection history or the staffing math behind it.
Spanish Trails runs a for-profit limited liability operation with 134 certified beds, and its nurse staffing sits at 3.38 hours per resident day, roughly 12% under the national average of 3.86. Weekend coverage drops about 11% below its own weekday level, and annual turnover hits 64.4% against a national 45.8%, so the people around your relative may change often. The current inspection record shows 45 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with two fines totaling $57,519. The most recent inspection was April 25, 2025. Quality measures score well, but staffing and inspection history are where the concerns live.
Frequently asked questions
How many chain-owned nursing homes are there in the United States?
There are 10,187 chain-owned Medicare-certified nursing homes in the United States, 69% of the 14,697 nursing homes there.
Are chain-owned nursing homes better staffed?
In the United States they average 3.7 total nursing hours per resident per day, against 3.86 for all nursing homes in the United States, a difference of -0.16 hours. Staff turnover averages 46.8% against 45.8%.
Which chain-owned nursing home grades best in the United States?